57291 Construction of vagina
Also known as: Vaginal reconstruction, Vaginoplasty
Construction of vagina using intestinal flap or skin graft. Creation of neovagina for vaginal agenesis or loss.
In Plain Language
Creating new vagina
Clinical Context
Used for Mayer-Rokitansky-Küster-Hauser syndrome (MRKH), vaginal agenesis, or complete vaginal loss. Restores sexual function.
RVU Breakdown
| Work RVU | 8.42 |
| Total RVU | 8.42 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.42, this code ranks in the 52nd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 57291?
CPT 57291 (Construction of vagina) is a Surgery code. Construction of vagina using intestinal flap or skin graft. Creation of neovagina for vaginal agenesis or loss.
What is the wRVU value for CPT 57291?
The work RVU for CPT 57291 is 8.42. This code is primarily used by Gynecology, Plastic Surgery. It has a 90-day global period.
When is CPT 57291 used?
Used for Mayer-Rokitansky-Küster-Hauser syndrome (MRKH), vaginal agenesis, or complete vaginal loss. Restores sexual function.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.